Application for Registration as an Australian Company - Sample PDF 2022

Australian S ecu rities &
In vestmen ts Co mmi ssion
Appli cation fo r regi stration as an Australi an
co mpan y
Use this form to apply to ASI C for regis tra tion o f a company under the Corpora tions A ct 2001.
Relate d Fo rms
208 - No tifi cation o f de tails o f shares allo tt ed o ther than for
cash 207 Z - Cer tif ica tion o f compliance with stamp duty law
Fo rm 201
Corpora tion s Act 2001
117
I f th ere is insu ff i ci en t s p ace in a n y section o f th e fo rm , you may pho to c op y th e re l eva n t p ag e(s) a nd subm it as p art o f thi s lodg ment
Lodgeme n t d eta ils
A n image o f t his f orm will be av ailable as
par t of the publi c regi st er.
Who should A SI C con tact i f th ere is a qu ery a bou t thi s
fo rm ? ASI C regist ered agent number (if appli c able)
80698364585
F irm / organization
Arnold Pty Ltd
Con t act name/pos ition desc rip tion T elephone number (during bu s ine ss hours )
( 85398364585)
Simpson Samuel
E mail address (op tional)
[e-mail]
S uburb/ City St a te /T errit or y P ostc ode
Portland Australia 2876
1 S tate/terr itory of re gi strat ion
I appl y for regist ra t ion of the c ompany under t he Corpora t ion s Act 2001 and nominat e t he St at e or T erri tory in whic h
t he c ompany will be t ak en to be regi stered.
Giv e St a te or T erri t or y
Australia
2 Deta il s of t he compa ny
D o es th e co m p an y h ave a p r opo se d c o mp a n y n ame?
X Yes
If y e s, the propos ed c ompany name is
Arnold Pty Ltd
Name re s erv at ion number (if an y )
85398364585
No
T he c ompan y name on regi st ra t ion will be its A ustralian Company Number (A CN) .
T ick the legal elemen ts that apply
X Pty. L td . P roprie tary Limit ed No liability NL

A SIC Form 201 11 December 2012 Pa g e 1 o f 8

2 Con tinued ... Fu rt her deta ils of t he compa ny
I s th e p roposed n ame id e n tica l to a re gi stere d bu s in ess n ame(s)?
Y es X No
If y e s, I declare t hat I hold , or am regi stering the c ompan y for the holder( s ) of, t he iden t ic al
bus ine ss name(s ), t he regi stra tion detail s of whic h are listed below.
AB N
587 274 454 84
F or business names regi st ered be f ore
28 May 2012 wi t hout an AB N.
or
P rev iou s bu s in ess nu m b er P rev ious state / terr ito ry o f re gi stration
T yp e o f co m p an y
X proprie t ary
c ompany
public c ompany
C lass o f c o mp a n y
limit ed b y s hare s
unlimit ed with a s hare c apit al
limit ed b y s hare s
limit ed b y guaran tee
unlimit ed with a s hare c apit al
no liability
Sp eci al pu rpo se (if appli c able)
home uni t (HUNT )
s uperannua t ion tru st ee (PST C)
c hari t able purpos e s onl y (P NP C)
s uperannuation t ru stee (UL SS )
c hari t able purpos e s onl y (UL S N)
Sp ec i al pu rpose co m p an y
Ref er t o Guide f or desc rip tion s o f
special purpo s e c ompanies.
A public c ompany t hat is:
• a superannuation t ru stee, or
• for charitable purpo s es only,
must hav e a c onstit ut ion .
If t his is a s pe c ial purpos e c ompany, t ick t he box below t o mak e the dec lara t ion .
I dec lare t ha t this c ompany is a s pec ial purpo s e c ompany a s def i ned under Regulat ion 3 o f t he
Corpora t ion s (Re v iew F ees ) Regulat ion s 2003.
Go ver n an ce o f a publi c c o mp a n y
X T he c ompany will rel y en tirely on repla c eable rule s
X T he c ompany has a c onstit ut ion
A p r oposed publi c c o mp a n y whi ch h as adop te d a “ C on sti tu tion” mu st lodg e a copy o f th e c on sti tu tion
with thi s a pplicat ion.
If t he propo s ed c ompany is t o be a publi c c ompany lim ite d b y gu ara n tee , st at e t he amount of the guaran tee that
ea c h member agree s to in writing .
Regi stere d o ff i ce
Y ou cannot u s e a PO B ox
address
T he amount of the member’s guaran tee is $ 7000 (inser t amoun t)
At t he o ff i c e o f, C/ - (if applic able)
Off i c e, uni t, le v el
582

St ree t number and St ree t name
3B/1 Baker Street
S uburb/ City St at e/T erri tory P o stc ode
Portland Australia 2876
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2 Con tinued ... Fu rt her deta ils of t he compa ny
D o es th e co m p an y o cc up y th e p rem i ses?
X Y es
No
If no , name o f o c cupier
Occupier’s c on s ent (S ele ct box to indi c at e t he sta tement below is c orre ct )
Off ice hou rs
F or a publi c c ompany
T he occ upier of the premis es has c ons ented in wri ting t o t he us e of the s pec if i ed addre ss as the
address o f t he regist ered o ff i c e o f t he c ompan y and ha s no t wit hdrawn t ha t c on s ent.
X a . Registered o ff i ce o f a public c ompany is open t o t he public eac h bu s ine ss day from a t lea st 10 am to 12
noon and 2 pm t o 4 pm .
b . Regi st ered off ice of a public c ompany is open to the publi c eac h bus ine ss day f or a t lea st 3 hour s
between 9 am and 5 pm .
If b, in s ert hours open from am/pm c lo s e to am/pm
P rin cipal pl ace o f bu s in ess I f same as re gistere d o ff i ce , wri te “ as abo ve”.
Off ic e , uni t, le v el
As above
St ree t number and St ree t name
As above
S uburb /City St at e/T erri tory P o stc ode
As above As above As above
Coun try (i f not A u st ralia)
3 A ppoin t off i cehold er
A public compan y mu st hav e a
minimum o f 3 direc tors (2 re s iden t in
A u st ralia) and 1 secre tary (re s iden t in
A u st ralia) .
Off i ce h e ld
X Dire ctor S e c re t ary
A proprie t ary c ompany must hav e
a minimum of 1 dire ctor (re s ident in
A us tralia) . T he o ff i c e o f s e c re t ary is
optional, but if appoint ed one mu st
reside in A u st ralia .
Off i ceholder(s ) appoint men t date s hall
be effective from t he beginning of the
day on whi c h t he c ompany bec omes
regist ered.
F amil y name Giv en names
Simpson Samuel Simpson Samuel
F ormer name

NA
St ree t number and St ree t name
521 George Street
S uburb/ Ci ty St a te /T errit or y P ostc ode
Portland Australia 2876
Count ry (if not A ustralia)
Dat e o f bir th
2.02.1999
P la c e o f bir th (town /city) (st at e/count ry )
Portland Australia
A SIC Form 201 11 December 2012 Pa g e 3 o f 8